| Risk Behaviors Among HIV-Positive Gay and Bisexual Men at Party-Oriented Vacations. | |
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MedLine Citation:
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PMID: 23200162 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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ABSTRACT. Objective: This study examined substance use (intended and actual), unprotected sex, and HIV disclosure practices (disclosure and questioning) among HIV-positive men who have sex with men (MSM) at two party-oriented vacations, where substance use and sexual risk may be heightened. Method: A random sample of 489 MSM attending one of two party-oriented vacations participated in PartyIntents, a short-term longitudinal survey. Nearly half (47%) completed a follow-up assessment at the event or online for up to 2 weeks after the event. We examined rates of baseline intentions to use substances, actual substance use, and unprotected intercourse among HIV-positive men in attendance.Rates among HIV-negative men were estimated for comparison. Multiple logistic regression was used to assess the impact of illegal drug use and HIV status on unprotected anal intercourse (UAI). Results: HIV-positive attendees (17%) were significantly more likely than HIV-negative attendees to use nitrite inhalants (or "poppers") (24.3% vs. 10.7%). HIVpositive attendees were also significantly more likely to have insertive UAI (64.3% vs. 34.1%) and receptive UAI (68.8% vs. 22.2%). Multivariate models showed associations between HIV status and illegal drug use with UAI (for HIV status, odds ratio [OR] = 4.5, p = .001; for any illegal drug use, OR = 16.4, p < .001). There was no evidence that the influence of drug use moderated risk by HIV status. Rates of HIV disclosure and questioning did not differ by HIV status. Conclusions: HIV-positive men attending these events engaged in higher rates of illegal drug use and sexual risk than HIV-negative men. Prevention campaigns targeting MSM at high-risk events should include messages geared toward HIVpositive men. (J. Stud. Alcohol Drugs, 74, 158-167, 2013). |
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Authors:
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Michael P Fisher; Rajeev Ramchand; Sarah Bana; Martin Y Iguchi |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of studies on alcohol and drugs Volume: 74 ISSN: 1938-4114 ISO Abbreviation: J Stud Alcohol Drugs Publication Date: 2013 Jan |
Date Detail:
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Created Date: 2012-12-03 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101295847 Medline TA: J Stud Alcohol Drugs Country: United States |
Other Details:
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Languages: eng Pagination: 158-67 Citation Subset: IM |
Affiliation:
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RAND Corporation, Arlington, Virginia. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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